Covidien LP

Eric Mintz

Ujwal Jalgaonkar

Gaurav Girdhar

John Wainwright

Syamala Rani Pulugurtha

Ashok Nageswaran

Hoai Nguyen

Andyanhdzung Huynh

Edwin Bon

David P Marchesiello

Bin Wang

Peter Skujins

Emma Hurst

Mark Philip Ashby

Kevin V Nguyen

Edwin Wang

James A Davidson

Evan Epstein

Junwei Li

Erik Skillrud

Minh Q Dinh

Gopan Patel

Tejashri Kumar

Alejandra Turcios

Christoph A Efstathiou

Ujwal Ramesh Jalgonkar

Expandable devices for occluding bifurcation aneurysms are disclosed herein. Several of the embodiments are directed towards an expandable device comprising a mesh configured to be deployed at a treatment site including blood vessel bifurcation of a human patient so that the mesh extends across a neck of an aneurysm and prevents or limits blood flow through the mesh and into the aneurysm. The mesh can comprise one or more circumferentially discontinuous portions so that, when the device is deployed at the treatment site, the device does not substantially impede flow from a parent blood vessel to two or more branching blood vessels. Systems and methods for delivering an expandable device of the present technology are also disclosed herein.

Expandable devices and associated systems and methods

A medical assembly includes an expandable-mouth catheter and an introducer tool configured to facilitate advancement of the catheter into a delivery sheath. In some examples, a distal-most portion of the introducer tool includes a plurality of axial extensions separated by triangular-shaped slits. When the catheter is received within the introducer tool and when the introducer tool is received within a tapered portion of the delivery sheath, the axial extensions are configured to collapse radially inward to radially compress the expandable member and to enable the introducer to extend farther into the delivery sheath.

Expandable-mouth catheter introducer tool

In some examples, a medical assembly includes a catheter and a delivery-assist tool. The catheter includes an elongated body comprising a proximal body portion and a distal body portion and defining a body inner lumen; and an expandable member located at the distal body portion, the expandable member defining an expandable member inner lumen. The delivery-assist tool includes a support structure configured to extend through the body inner lumen and the expandable member inner lumen of the catheter; and a flexible cover coupled to a distal portion of the support structure, wherein the flexible cover is configured to facilitate compression and retention of the expandable member in a delivery configuration while being advanced through a delivery sheath and while the support structure extends through the body inner lumen and the expandable member inner lumen.

Expandable-mouth catheter delivery-assist tool

Retrieval of material from vessel lumens can be improved by use of a distal element comprising an expandable mesh. a treatment device includes an elongated member having a proximal portion and a distal portion configured to be positioned within a blood vessel at a treatment site at or near a thrombus. A distal element comprising an expandable mesh is coupled to the distal portion of the elongated member via a connection assembly. In an expanded state, at least a portion of the mesh is configured to be in apposition with the blood vessel wall at the treatment site to anchor or stabilize the elongated member with respect to the blood vessel. The distal element can be electrically coupled to an extracorporeal current generator.

Retrieval of material from corporeal lumens

In some examples, a catheter includes an expandable member configured to expand radially outward from a collapsed configuration to an expanded configuration. The expandable member is configured to be expanded and contracted in a controlled manner, e.g., in response to user actuation or automatically under the control of control circuitry of a device. For example, in some examples, control circuitry of a device can be configured to control the expandable member to expand and contract according to a predetermined expansion frequency or according to an expansion frequency determined based on a cardiac cycle of a patient.

Aspiration systems and methods, and expanding-mouth catheters

A catheter may include an inner liner, at least one support structure over the inner liner, and an outer jacket over the at least one support structure. In some examples, the catheter includes a tip jacket positioned over a distal portion of the outer jacket and extend beyond a distal-most part of the inner liner and a distal-most part of the outer jacket to define a single-layer catheter tip. In some examples, the at least one support structure may include a braid and a coil. The catheter may include a marker band over a distal portion of one of the braid or the coil. The other of the braid or the coil ends proximally of a proximal end of the marker band, such that the catheter includes a location with lower radial and/or flexural stiffness proximal of the marker band.

Flexible tip catheter

In some examples, a catheter includes one or more balloons that, when inflated, are configured to be apposition with vasculature or other hollow anatomical structure of a patient to help anchor the catheter within the vasculature, while still permitting fluid to flow past the inflated balloons. When inflated, the one or more balloons define one or more passageways configured to enable fluid to flow past the inflated balloons in a direction along a longitudinal axis of the catheter. For example, the catheter may comprise a plurality of balloons that are circumferentially and longitudinally staggered relative to each other.

Balloon catheter

A hub defines a lumen with a longitudinal axis along the length of the hub. An outer surface of a distal portion of the hub tapers inwardly toward the longitudinal axis as the distal portion extends distally. A strain relief includes a proximal portion configured to receive the distal portion of the hub. The strain relief defines a lumen that substantially aligns with the hub lumen when the proximal portion receives the hub. The hub and/or strain relief are configured to be fixedly attached to a catheter body such that a catheter body lumen substantially aligns with the hub lumen and the strain relief lumen when the strain relief receives the distal portion of the hub. Outer surfaces of the strain relief and hub define substantially similar distances to the longitudinal axis along an interface between the two outer surfaces when the strain relief receives the hub.

Catheter hub and strain relief

Expandable devices are disclosed herein. Several of the embodiments are directed towards an expandable device comprising a mesh configured to be expanded at a blood vessel bifurcation of a human patient. The mesh may comprise a tubular body portion and one or more circumferentially discontinuous articulating portions. The mesh may be expanded such that the one or more articulating portions are positioned at an angle to the tubular body portion.

Retrieval of material from vessel lumens can be improved by use of a distal element comprising an expandable mesh, a treatment device includes an elongated member having a proximal portion and a distal portion configured to be positioned within a blood vessel at a treatment site at or near a thrombus. A distal element comprising an expandable mesh is coupled to the distal portion of the elongated member via a connection assembly. In an expanded state, at least a portion of the mesh is configured to be in apposition with the blood vessel wall at the treatment site to anchor or stabilize the elongated member with respect to the blood vessel. The distal element can be electrically coupled to an extracorporeal current generator.

In some examples, an aspiration catheter system includes an outer catheter and an inner catheter configured to be positioned within the outer catheter lumen, and an alignment element. The outer catheter defines an outer catheter lumen and an outer catheter distal opening. The inner catheter defines an inner catheter lumen, an inner catheter distal opening, and a plurality of sidewall openings proximal to the inner catheter distal opening. The alignment element is configured to indicate a predetermined position of the inner catheter relative to the outer catheter when the inner catheter is received within the outer catheter distal opening. When the inner catheter is at the predetermined position, at least one sidewall opening of the plurality of sidewall openings remains positioned within the outer catheter lumen and at least one other sidewall opening of the plurality of sidewall openings is positioned distal to the outer catheter distal opening.

Aspiration catheter system

An aneurysm treatment system can include an occlusive member configured to be positioned within an aneurysm sac, and a distal conduit coupled to the occlusive member and having a first lumen extending therethrough. A proximal conduit has a second lumen extending therethrough and is positioned adjacent the distal conduit so that the first lumen is in fluid communication with the second lumen. A coupler extends between the distal conduit and the proximal conduit. The coupler may be ruptured to permit the proximal conduit and the distal conduit to be separated from one another.

Systems and methods for treating aneurysms

Vasculature models and associated systems and methods are disclosed herein. In some embodiments, the model comprises a tube including a lumen extending therethrough, a synthetic thrombus including a magnetic component, and a magnetized member. The thrombus is sized to be positioned within the lumen, and the magnetized member is positioned peripheral to the thrombus such that a radially outward force is exerted on the thrombus via the magnetized member. The tube may be part of a network of tubes that generally resemble human neurovasculature.

Growing community of inventors

Costa Mesa, CA, United States of America

Eric Mintz